Individual provider Active NPI

Samantha Anne Hoyler, AGNP, AANP

  • Gerontology Nurse Practitioner
  • West Islip, NY
National Provider Identifier
1225753643
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
F-310557-01 Issued in NY
Practice address
21 Parkwood Rd
West Islip, NY 11795-3802
Phone
(631) 767-8044
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X F-310557-01 NY Primary

Addresses

Primary practice location

21 Parkwood Rd
West Islip, NY 11795-3802

Mailing address

21 Parkwood Rd
West Islip, NY 11795-3802
Phone (631) 767-8044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F-310557-01NYMDGerontology Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1225753643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PARKWOOD RD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953802",
            "telephone_number": "631-767-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PARKWOOD RD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953802",
            "telephone_number": "631-767-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOYLER",
        "first_name": "SAMANTHA",
        "middle_name": "ANNE",
        "credential": "AGNP, AANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F-310557-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.